Wyoming Hearing Clinic, LLC

Primary specialty

Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X

License

A-954 Issued in WY

Legal business name

WYOMING HEARING CLINIC, LLC

Practice address

5320 Education Dr
Cheyenne, WY 82009-4058

Phone

(307) 632-8224

Fax

(307) 635-3691

NPI assigned

Feb 29, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Jonathan M Ross, MS CCC-ANPI 1891878906

Title

Owner/Audiologist

Phone

(307) 632-8224

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jonathan Ross, MS CCC-A

  • Audiologist
  • Cheyenne, WY
  • NPI 1891878906
  Medicare reassignment Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1204243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204243200000",
    "number": "1710156138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5320 EDUCATION DR",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820094058",
            "telephone_number": "307-632-8224",
            "fax_number": "307-635-3691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5320 EDUCATION DR",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820094058",
            "telephone_number": "307-632-8224",
            "fax_number": "307-635-3691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYOMING HEARING CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-29",
        "last_updated": "2008-02-29",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/AUDIOLOGIST",
        "authorized_official_telephone_number": "307-632-8224",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS CCC-A"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "WY",
            "license": "A-954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Hearing and Speech Clinic/Center in Cheyenne, WY
• Providers in Cheyenne, WY by specialty
• Hearing and Speech Clinic/Center in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.